The hospital should clearly defined the services that are provided. They should be in consonance with the needs of the community.

Hospital should display the scope of services that a patient can avail at relevant and prominent places. They should displayed prominently both in English and Local Language.

The staffs in the hospital should be oriented to the services that are offered by the hospital on a regular basis. The employees especially working in the areas like reception, registration, outpatient consultation, and in-patient, which includes Wards, Day Care Unit, and ICU regularly trained about the existing services and also the new specialties that are introduced. The newly recruited should be oriented to the services offered by the hospital during the induction tour around the hospital, and also yearly on the job training given by the HODs working in the respective departments.

Some of the Scope of Services of Hospitals are listed below

Clinical Services

Anaesthesiology

1. PAC Clinic
2. General Anesthesia
3. Spinal Anesthesia
4. Ultra sound guided regional Anesthesia (Nerve Block)
5. Outside OT Procedures
a. MRI under GA
b. CT
c. Endoscopy
d. Interventional Radiology
e. Cathlab Procedures
f. PET CT
g. Brachy Therapy
h. Endoscopic
6. Critical Care Services
a. Surgical Critical Care
b. Medical Critical Care
c. Solid Organ transplant Critical Care
7. Acute Pain Management

Blood Bank

1. Red Blood Cells
2. RBC Leukocytes reduced
3. Platelets
4. Platelets Leukocytes reduced
5. Apheresis Platelets
6. Cryoprecipitate
7. Fresh Frozen Plasma
8. Therapeutic Procedures
9. Autologous Transfusion
10. Therapeutic Phlebotomy

Cardiac Sciences

Diagnostic Services (Adult/Pediatric)

1. Non-Invasive
   • • ECG
     • ECHO including 4D Echo
     • Stress testing – TMT/Stress ECHO
     • Trans-Oesophageal ECHO
     • Ambulatory BP monitoring
     • Holter Monitoring, External loop recorder
     • Head-Up Tilt Table Testing
2. Invasive
   • • Coronary Angiogram
     • Cardiac Catheterization
     • Electrophysiological studies, 3D Mapping
     • Peripheral Angiogram

Clinical Cardiology (Adult/Paediatric)

1. Outpatient Consultations
2. Cross Referrals
3. In-Patient Care
4. Emergency Services – 24/7

Interventional Cardiology (Adult/Paediatric)

1. Coronary Angioplasty including primary PTCA/Stenting, Complex PCI, CTO PCI, Bifurcation PCI, Left main PCI etc.
2. Pacemaker Implantation – Temporary/ Permanent, CRT, ICD
3. Valve -Mitral/Aortic/Pulmonary/Tricuspid/T AVI
4. Device Closures – ASD/VSD/PDA/RSOV/Paravalvular Leak
5. Arrhythmia Services – Radiofrequency Ablation
6. Hybrid Procedures – EVAR, TEVAR
7. Congenital Heart Diseases – BAS, PDA Stenting
8. Peripheral Angioplasty

Cardiothoracic And Vascular Surgeries (Adult/Paediatric)

1. Outpatient Consultations
2. In-Patient Care
3. Emergency Services
4. Surgeries of Heart, Blood vessels, & Thorax including CABG, Valve

Child Health

1. General Paediatrics
2. Neonatology & NICU
3. Paediatric Surgery
4. Paediatric Critical Care
5. Paediatric Cardiology
6. Paediatric Cardiac Surgery
7. Paediatric Neurology
8. Paediatric Neurosurgery (Brain/ Cranial)
9. Paediatric Spine Surgery
10. Paediatric Orthopaedics
11. Paediatric Nephrology
12. Paediatric Urology
13. Paediatric Oncology
14. Paediatric Bone Marrow Transplant
15. Paediatric Gastroenterology
16. Paediatric GI Surgery
17. Paediatric Liver Care
18. Paediatric Solid Organ Transplant Program (Kidney, Liver, Pancreas, Heart, Lung)
19. Paediatric Pulmonology & Allergy Management
20. Paediatric ENT
21. Paedodontics
22. Cranio-maxillofacial Surgery
23. Paediatric Ophthalmology
24. Paediatric Plastic     &     Reconstructive Surgery
25. Paediatric Dermatology
26. Paediatric Endocrinology
27. Child & Adolescent Psychiatry
28. Paediatric Imaging (including Nuclear Medicine)
29. Paediatric Pain & Palliative Care
30. Paediatric Physiotherapy & Rehabilitation
31. Paediatric Nutrition
32. 24/7 Paediatric Emergency Care
33. Kids integrated Neurology & Development Centre
34. Child neurology services
35. Neurodevelopmental services
36. Neurorehabilitation services
37. Child behavioural health and allied services
38. Neuro metabolic and neurogenetic services

Sports Medicine

Cranio Maxillo-facial surgery

1. Orthognathic surgery
2. Cleft lip and palate deformity correction
3. Maxillofacial trauma care
4. Impactions & minor surgical procedures
5. Dental Implants
6. Temporomandibular joint surgery
7. Tumours & Cysts
8. Cranioplasty

Critical Care Medicine

1. Cardiac ICU
2. Multidisciplinary Surgical ICU
3. Medical ICU
4. Paediatric ICU
5. Neonatal ICU (Level 3)
6. Solid Organ Transplant ICU

Dental Services

1. Periodontics
2. Endodontics
3. Orthodontics
4. Prosthodontics
5. Paedodontics

Dermatology & Venereology

1. Phototherapy
2. Radiofrequency ablation
3. Chemical peeling
4. Micro-needling with derma-rollers
5. Cryotherapy
6. Platelet-rich plasma injections
7. Laser hair removal
8. Injection of dermal fillers
9. Chemical reconstruction of skin scars
10. Electrocautery

Emergency Medicine

1. Ambulance Services
   • First responder program (Bike Ambulance)
   • ICU Ambulance / Non-ICU Ambulance
2. 20 bedded unit with separate paediatric emergency holding unit
3. Cardiac arrest resuscitation (Code Blue) across the hospital in non-critical areas & ED
4. Handling of MLCs

Endocrinology

1. Diabetes
2. Obesity
3. Thyroid & parathyroid diseases
4. Puberty
5. Growth disorders
6. Adrenal diseases
7. Pituitary diseases
8. Metabolic bone diseases including osteoporosis

ENT

1. Ear
   1. Microscopic Ear Surgery
   2. Cochlear Implantation
   3. Hearing Reconstructive Surgery
   4. Vertigo & Balance Disorders Clinic
2. Nose
   1. Endoscopic Sinus Surgery
   2. Sleep Surgeries (Nose / Throat)
   3. Minimally invasive balloon Sinuplasty
   4. Endoscopic Skull Base Surgery
   5. CSF Leak Repair
3. Throat
   1. Bloodless Tonsillectomy
   2. Micro laryngeal Surgeries
4.  Head & Neck
   1. Paediatric Airway Surgeries
   2. Thyroid Surgeries
   3. Salivary Gland Surgeries
   4. Lifesaving airway procedures
5.  Audiology Services
   1. Swallowing Therapy
   2. Audio Verbal Therapy for Cochlear Implantation
   3. Professional Voice Therapy
   4. Speech Therapy
   5. Tracheostomy Care
   6. Videofluoroscopy
   7. Hearing evaluation & Hearing Aid Trial

Gastroenterology & Integrated Liver Care

Medical Gastroenterology:

• Upper GI Endoscopy – Diagnostic & Therapeutic
• Lower GI Endoscopy – Diagnostic & Therapeutic
• Endoscopic Ultrasound – Diagnostic & Therapeutic
• ERCP – Therapeutic
• GI Manometric Studies –
• Esophagogastric & Anorectal
• Cholangioscopy
• SpyGlass
• EMR, ESD
• Hydrogen Breath Test
• 24 Hour pH Studies
• Enteroscopy & Small Bowel Studies
• Capsule Endoscopy

Surgical Gastroenterology

• Basic & Advanced Laparoscopic Surgeries
• Colorectal Cancer Surgeries
• Bariatric (Weight Reduction) Surgeries
• Robotic surgeries
• Hernia Repair Surgeries
• Surgery for Haemorrhoids (Piles)
• Fistula and Fissure
• Surgery for all Gastrointestinal cancers
• Surgery for Pancreatic Tumours & Cancer
• Surgery for Liver cancer

3. Integrated Liver Care

1. Liver Transplantation (Adult / Paediatric)
2. Pancreas Transplantation
3. Small Intestine Transplantation
4. Liver Cancer Treatment
5. Biliary Cancer Treatment
6. Hepatobiliary disorders
7. Pancreatic Cancer Treatment
8. Paediatric Liver Cancer
9. Paediatric Hepatobiliary diseases
10. Clinics

• • Hepatitis Clinic
  • Fatty Liver Clinic
  • Cirrhosis Clinic

Internal Medicine

1. Management of Diabetes Mellitus, Hypertension, Dyslipidemia, Hypothyroidism, Hyperthyroidism, Anaemia,
2. Management of Viral, Bacterial, Fungal, Parasitic
3. Management of Deep Vein Thrombosis & Cellulitis
4. Assessment & management of acute internal medicine
5. Ascitic taps, lumbar puncture
6. Catheterization
7. Rapid Response Team
8. Attend and Manage ward calls

General Surgery

1. Surgical treatment for varicose veins
2. Breast Clinic for benign and malignant disease – Integrated Breast Care
3. Laparoscopic ventral and Inguinal hernia repair, Laparoscopic Appendectomy, Cholecystectomy
4. Laparoscopic Varicocelectomy
5. Excision and biopsies of cutaneous and subcutaneous swellings
6. Skin and soft tissue infections
7. Surgeries for thyroid, salivary gland swellings
8. Daycare Surgical clinic

Infectious Diseases

1. General Infectious Diseases
2. Tropical Infections
3. Infections in Immuno Compromised (Transplant and Oncology)
4. Travel Medicine
5. Adult Immunization
6. HIV Medicine

Neonatology

1. Conventional and high-frequency ventilation
2. Nitric oxide therapy
3. High Flow Nasal Cannulation (HFNC)
4. Continuous positive airway pressure (CPAP)
5. Antenatal counselling for high-risk pregnancy
6. Neurodevelopment follow up and high-risk clinic, ROP screening for preterm babies
   • Level 3 Neonatal ICU
   • Total Body Cooling – Perinatal Hypoxia
   • Neonatal Surgeries including cardiac

Nephrology

1. General Nephrology
2. Haemodialysis
3. Continuous Renal Replacement Therapy
4. Hemoperfusion
5. Hemodiafiltration
6. Peritoneal Dialysis
7. Kidney biopsy
8. Plasmapheresis
9. Renal transplantation – Robotic and Open Surgery

Neuro Sciences

1. Neurology
   • Neuropsychology
   • Neuro-diagnostics
   • Interventional Neurology
   • Stroke Management
   • Nerve conduction studies
   • Electromyography (EMG)
   • Sleep lab with sleep studies
   • Electro-encephalography [EEG]
   • Transcranial Doppler
2.  Neuro Surgery.
   • Cranial Surgery
   • Skull base surgery
   • Spine surgery
   • Peripheral nerve surgery
   • Endovascular procedures
   • Stereotactic radiosurgery
   • Awake craniotomy surgeries
   • Minimally invasive/keyhole surgeries
   • Deep brain stimulation
   • Surgery for trigeminal neuralgia and pain-related procedures
   • Advanced trauma care and related surgeries
   • Paediatric neurosurgery
   • Surgery for craniosynostoses and other congenital malformations

Nuclear Medicine

1. Diagnostic Nuclear Medicine
   • GAMMA Camera (SPECT-CT) Imaging
   • PET-CT Imaging

2. Therapeutic Nuclear Medicine
   • Rhenium Therapy, Yttrium therapy
   • Hi-dose Radio Iodine
   • Lutetium PSMA therapy
   • Lutetium DOTA TATE therapy

Oncology

Medical Oncology

1. • Adult & Paediatric Medical Oncology
   • Genomic oncology
   • Chemotherapy
   • HIPEC
   • Immunotherapy
   • Targeted Therapy
   • Metronomic chemotherapy
   • Haematology & Hemato-oncology

• Adult & Paediatric Hemato – Oncology
• Adult & Paediatric Benign Haematological disorder management
• Bleeding and Clotting disorder management
• Stem Cell Transplantation
• Chemotherapy

Surgical Oncology

• • Advanced comprehensive centre for breast surgeries, breast conservation surgery, sentinel node biopsy, breast oncoplastic, and breast
  • Complex gynaecological surgeries, peritonectomy procedures, HIPEC, minimally invasive and robotic surgery
  • Advanced excision, sentinel node biopsy, reconstruction and rehabilitation for melanomatous and non-melanomatous skin malignancies.
  • Soft tissue and bone sarcomas surgeries, limb-sparing surgery, advanced soft tissue and vascular reconstructions.
  • Gastrointestinal malignancies – open and minimally invasive surgeries.
  • Radio guided surgeries in oncology, sentinel node biopsy, Occult lesion localization
  • Minimally invasive and robotic surgeries
  • Thyroidectomy with intraoperative recurrent laryngeal nerve monitoring
  • Parathyroidectomy (minimally invasive) with intraoperative recurrent laryngeal nerve monitoring, gamma probe guidance and intraoperative PTH monitoring
  • Salivary gland tumours – parotid and submandibular  gland tumours with intraoperative facial  nerve monitoring
  • Leukoplakia, Erythroplakia of the oral cavity – early detection with biopsy and serial sectioning
  • Lip, Cheek, Tongue, Palate and Jaw Tumours- Peroral resections, pull- through procedures that avoid/ minimise scars and improve functional & aesthetic outcomes, 3D reconstructions and computer-aided cutting guides with free-flap reconstruction
  • Skull-base surgery for tumours of the paranasal sinuses, anterior skull-base and lateral skull-base
  • Conservation Laryngeal Surgery, Laryngectomy – surgery for voice box tumours
  • Management of orbital
  • Surgical management of vascular malformations of the scalp, face, neck and upper aerodigestive tract (UADT)
  • Surgical management of cancers of the skin on the head, face & neck

Radiation Oncology

• • • External Beam Radiotherapy
    • Brachytherapy

Allied Services

• Psychological counselling
• Patient Assistance programmes
• Rehabilitation facilitation
• Hospital-Based Tumour Registry

Ophthalmology

1. Anterior segment surgeries
2. Orbital & Oculoplastic surgeries
3. Minor Cosmetic surgery
4. Neuro-ophthalmology
5. Medical Retina
6. Glaucoma
7. Cataract

Orthopaedics

1. Arthroscopy & Sports Medicine
2. Joint Arthroplasty
3. Orthopaedic Oncology
4. Paediatric Orthopaedics
5. Orthopaedic Spine Surgery
6. Rheumatology
7. Orthopaedic Pathology
8. Trauma
9. Hand surgery
10. Day Care Procedures
11. Speciality Clinics
    • Arthritis
    • Back pain
    • Brachial plexus injury
    • Sports medicine
    • Clubfoot
    • Cerebral Palsy
    • Spinal Deformity

Pain & Palliative Medicine

1. Acute Pain management
2. Chronic Pain Management
   • Cancer pain and palliative care pain management
   • Non-Cancer pain management
3. Interventional Pain Management
4. Dry Needling/ IMS
5. RFA
6. Spine and Joint Pain Management
7. Supportive care (Palliative care) for Cancer patients & non-cancer patients with serious health-related sufferings
8. Geriatric supportive care
9. Management of persons with end-stage organ failure
10. Paediatric palliative care
11. Care of persons with incurable issues
12. Lymphoedema management
13. Management of Ascites & pleural effusion with catheter drainage

Plastic Surgery & Aesthetics

1. Reconstructive Surgeries: Post-traumatic, post-ablation oncoplastic, Breast reconstruction , maxillofacial trauma reconstruction
2. Peripheral nerve surgeries: Nerve repair, Nerve graft, nerve transfers, Brachial plexus injury reconstruction, free function muscle transfers, facial reanimating
3. Cosmetic surgery: Rhinoplasty, Fat transfers, facial rejuvenation, liposuction, Abdominoplasty and other body contouring procedures, Breast augmentation and Breast reduction, hair transplant
4. Congenital abnormality correction: Cleft lip and palate, congenital clefts, microtia( Auricle Reconstruction), syndactyly, thumb reconstruction ( toe transfers)
5. Lymphedema therapy and microvascular surgeries
6. Vascular and microvascular Repairs
7. Minor burns and burns reconstruction surgeries
8. Vascular malformations treatment
9. Botox therapy
10. Diabetic foot care
11. Lymphedema
12. Hand Surgery
13. Hair Transplant

Podiatry

1. Charcot foot Management
2. Foot and ankle reconstructive surgery
3. Sling technique and PMMA foot bone prosthesis
4. Surgical management of diabetic foot infections
5. Preventive management of diabetic foot problems
6. Screening of all diabetics for foot problems, vibration perception test to check diabetic neuropathy, B.I
7. Paedopodogram
8. Tcpo2 for microcirculatory status assessment.
9. Foot care and orthotic advice
10. Anodyne therapy for lower limb neuropathy

Psychiatry

1. Mood disorder – Depressive disorder – bipolar disorder
2. Anxiety disorder
3. Dementia
4. Personality disorder
5. Schizophrenia and other psychotic disorder
6. Substance abuse disorder – Alcohol / Nicotine/ Cocaine etc… (drug dependence)
7. Autism / Spectrum disorder
8. Intellectual disability
9. Learning disability
10. Childhood Psychiatric disorder

Physical Medicine & Rehabilitation

1. Pain Management
2. Stroke Rehabilitation
3. Spinal Cord Injury Rehabilitation
4. Cerebral Palsy & Paediatric Rehabilitation
5. Musculoskeletal Injury Management
6. Rheumatology Rehabilitation
7. Amputee Rehabilitation
8. Cardiopulmonary Rehabilitation
9. Geriatric Rehabilitation Prosthetic & Orthotic Management

Respiratory Medicine

Pulmonology Services

• Treatment of Respiratory Diseases
• Asthma
• COPD
• Pneumonia
• Tuberculosis
• Bronchiectasis
• Pleural Effusion
• Lung Abscess

Bronchology Services

1. Diagnostic Bronchoscopy
2. Bronchoscopic Procedures
   • BAL
   • Biopsy
   • Brushings
   • FB Removal
3. Endobronchial Ultrasound-Guided
   • Biopsy
   • Aspiration

Pleural Services

1. Pleural fluid aspiration – Diagnostic
2. Pleural fluid aspiration – Therapeutic
3. ICD Insertion – Seldinger technique
4. ICD Insertion – Conventional
5. Pleurodesis
   • Bleomycin
   • Talc

Allergy Services

1. Food Allergy Testing
2. Aeroallergen Testing
3. Immunotherapy – Sublingual
4. Anti IgG Therapy
5. Drug Allergy Testing

Pulmonary Function Testing

1. Spirometry
2. Body Box – Plethysmography
3. DLCO

Respiratory Therapy Services

1. Pulmonary Rehabilitation for chronic breathlessness

Rheumatology

1. Joint ( Intra-articular) and soft-tissue injections are administered when required
2. Nerve Blocks
3. Biopsies (Muscle, Skin & Nerve biopsies)
4. Biologic therapy
5. Rheumatoid arthritis
6. Osteoarthritis
7. Ankylosing spondylitis
8. Gout
9. Systemic lupus erythematosus
10. Metabolic bone disease
11. Chronic musculoskeletal pain disorders
12. Primary immunodeficiency syndromes

Transplant Services

1. Bone Marrow
2. Heart
3. Kidney – Robotic and Open Surgery
4. Liver & Pancreas

Urology

1. General Urology
2. Uro-Oncology
3. Vascular access surgeries
4. Andrology & Infertility
5. Endo-urology & stone disease management
6. Female & Reconstructive Urology
7. Laser Surgery of the prostate
8. Flexible cystoscopy
9. Uretero-renoscopy
10. Cystoscopy
11. Endo-urology
12. Open/Laparoscopy/Robotic-assisted surgery
13. Percutaneous Nephrolithotomy (PCNL)

Woman’s Health

1. General Gynaecology
2. Maternity Day Assessment
3. Antenatal classes
4. High-Risk Pregnancy Unit
5. Comprehensive Gynaec Oncology service
6. High-precision Robot minimally invasive surgeries
7. Foetal Medicine
8. Delivery suite
9. Colposcopy
10. IVF (In Vitro Fertilization)
11. Advanced Assisted Reproduction Treatment
12. Urogynaecology
13. Private labour suite
14. Painless labour
15. Stem Cell Banking

Wellness Centre

1. Preventive Health Check Services – Health Checkups
   • Executive Health Check
   • Diabetes Check-up
   • Comprehensive Check-up
   • Cancer Screening For Women
   • Basic Health Check-Up
   • Cancer Screening For Men
   • Orthopaedic Check-up
   • Heart Check-up

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Support Services

Clinical laboratory services

1. Biochemistry
2. Immunology
3. Hematology
4. Clinical Pathology
5. Microbiology
6. Serology
7. Histopathology
8. Cytology

Clinical nutrition

1. Critical care nutrition
   • ICUs (SICU, MICU, CICU, PICU)
   • Transplant (Renal, Bone Marrow, Liver & Heart)
2. Adult nutrition
   • Nephrology / Urology
   • Cardiology
   • Gastroenterology (Medicine & Surgical)
   • General Surgery
   • Head & Neck Surgery
   • Endocrine & Metabolic Disorders
   • Pregnancy & Lactation
   • Oncology
   • Pulmonology
   • Allergy
   • Neurology
3. Paediatric nutrition
   • Nephrology / Urology
   • Cardiology
   • Gastroenterology (Medicine & Surgical)
   • Endocrine & Metabolic Disorders
   • General Surgery
   • Head & Neck Surgery
   • Oncology
   • Pulmonology
   • Allergy
   • Neurology
   • Malnutrition
4. Wellness Nutrition
5. Sports Nutrition

Clinical imaging and Interventional Radiology

1. General Radiology & Imaging
   • X-ray
   • CT Scan – 256 slice, ultrafast
   • MRI – 3T, Wide bore scanner
   • Bone Mineral Densitometry
   • Mammography
   • USG
2. Interventional Radiology
   • Biplane hybrid cathlab
   • Neurovascular Interventions
   • Aortic Aneurism Stenting
   • Peripheral Angioplasty / Stenting
   • Fistuloplasy (AV Fistula)
   • Trauma Embolization
   • Tumour Embolization
   • Chemo & Radio Embolization
3. Clinical Pharmacy – Pharmacovigilance

Nursing Services

1. Out-Patient
   • Initial Assessment
   • Dialysis
   • Chemotherapy
   • Day Care
2. In-Patient
   • IP Nursing Services (Room & Ward)
   • Dialysis Nursing Services
   • Critical Care Nursing Services
   • OT Nursing Services
   • Cathlab Nursing Services
   • Solid Organ/Bone Marrow Transplant Nursing Services
3. Emergency Nursing Services

Pharmacy

1. IP Pharmacy
2. OP Pharmacy

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Technical & Support Services

Biomedical & Supply chain management

Facility Management Services

Central Sterile Supplies Department (CSSD)

• Plasma Sterilization
• ETO Sterilization
• Steam Sterilization

Operations Department (IP&OP)

Human Resources Management

Insurance & Third Party Administration (TPA)

Food & Beverages Department

Medical Records Department

Security Services

Supply Chain Department

Information Technology

Quality Department

Housekeeping and Laundry Services

Mortuary Services

Home Service